Free Online Legal Forms from All Law - General Law Practice - Client Intake Form

CLIENT
INTAKE FORM

1. Name

2. Addresses

Home:

Business:

4. Which address should
attorney's billings be sent to?

5. Telephone numbers

Home:

Work: What days and times
should work number be used?

Fax number

Which telephone number
should be used for messages?

6. Employer

7. Occupation

8. Date and place of birth

9. Driver's license number

10. Social security number

11. United States citizen?
Immigration status:

12. Spouse's information

Name

Date and place of birth

Date of marriage

Address, if different

Work address

Home telephone number, if
different

Work telephone number
What days and hours should work number be used?

13. Insurance information

Name of insurance agent

Home insurance coverage

Vehicle insurance
coverage

Medical insurance
coverage

Other

14. What are the names of
any other lawyers you have ever consulted regarding this case?

15. Describe any papers you
been served with concerning this case

16. Describe any documents
you have relating to this case.

17. Do you have access to
your files or papers relating to this case?

18. Identify any witnesses
or people with knowledge of the facts of this case.

19. Describe any statements
you have made to anyone concerning this case?

20. How did you choose our
firm?

Warning:

These forms are provided
AS IS. They may not be any good. Even if they are good in one
jurisdiction, they may not work in another. And the facts of your
situation may make these forms inappropriate for you. They are for
informational purposes only, and you should consult an attorney before
using them.